As an ambulatory surgery center, we try not only to handle the complication, but also help you avoid getting complicated surgery altogether by way of educating you on the subject of various underreported illnesses. Today, we talk about hyperprolactinaemia.
Hyperprolactinemia (also called hyperprolactinaemia) is an illness characterized by the presence of above-average levels of prolactin (luteotropin) in the blood. The core purpose of luteotropin is stimulating breast milk production after childbirth, that means that above-average luteotropin levels are perfectly normal during the pregnancy. This hormone also affects estrogen and testosterone in both males and females.
We are going to split the symptoms into three categories for your convenience.
Symptoms in females:
- Oligomenorrhoea (infrequent menstruation) and amenorrhea (absence of menstruation);
- Galactorrhoea (milky discharge from the breasts, unassociated with pregnancy and breastfeeding);
- Vaginal dryness;
- Excessive body hair.
Symptoms in males:
- Erectile dysfunction;
- Poor growth of body/facial hair;
- Enlarged breasts.
Symptoms in both sexes:
- Lowered libido;
The main causes include:
- Taking meds that increase luteotropin levels (including calcium channel antagonists, selective serotonin reuptake inhibitors, and antipsychotics);
- Underactive thyroid;
- Chest injuries;
- Kidney and liver issues;
- Other illnesses and/or tumors.
Hyperprolactinaemia is usually diagnosed via blood test and MRI. There are several complications that can happen if hyperprolactinaemia is left undiagnosed and untreated, including complete loss of vision, severe hormone deficiency, and complications of pregnancy.
With all of that information in mind, let’s go over most common hyperprolactinaemia treatment methods:
- Pharmaceuticals such as Dostinex work well in most cases, they help normalize the luteotropin production.
- Surgical removal of the tumor in case medication therapy proved to be ineffective.
- Radiation is used to shrink the tumor in case surgical removal wasn’t effective.